Perception and Practices of Home Management of Acute Watery Diarrhoea and Its Impact on Dehydration

Main Article Content

M. Z. Uddin
K. Fatema
R. S. Begum
T. Saad
M. M. Hossain
A. R. M. S. H. Khan
M. Mohsin


Background: Diarrhoea is one of the commonest causes of death in children in developing countries. Proper home management can reduce morbidity and mortality. High rates of dietary restriction, poor knowledge of preparation of ORS solutions and low attention given to clinical indicators are causes for seeking hospital management. This study was done to observe the knowledge of caregivers regarding home management of acute watery diarrhoea and to assess the impact of home management on severity of dehydration.

Methods: This study was a prospective study carried out on children with acute diarrhea who attended outpatient department (OPD) of Rangpur Medical College Hospital and duration of the study was 6 months. A total of 100 cases were included in this study who fulfilled the definition of acute diarrhea by WHO. The investigator questioned each mother with the help of a preformed questionnaire.

Results: In 85% of cases, caregivers perception about diarrhea was an increase in the frequency and fluidity of stool. About 95% of cases were initially treated at home; treatment was given at home with ORS (95%). There was change in feeding pattern and modified food was given (24%). Perception about ORS preparation was appropriate in 64% and inappropriate in 31% of cases. Inadequate amount of ORS was given in 74% cases. There was no interruption of breast feeding; dietary restriction during diarrhoea was observed only in 2% cases. Most of the parents did not know when to return immediately to hospital.  Dehydration status of diarrhoeal cases was no dehydration (81%), some dehydration (18%) and severe dehydration (1%). In majority of the cases different drugs were used.

Conclusion: Most of the caregivers’ decided to treat diarrhoea at home. Many of them had wrong perception about preparation of ORS and some of them did not know how to make ORS solution. Inadequate amount of ORS was given in most of the cases. Thus to lessen hospital burden and to prevent dehydration increased emphasis should be given to health education of home management of diarrhea.

Diarrhoea, ORS, home management; breast feeding, dehydration.

Article Details

How to Cite
Uddin, M. Z., Fatema, K., Begum, R. S., Saad, T., Hossain, M. M., Khan, A. R. M. S. H., & Mohsin, M. (2020). Perception and Practices of Home Management of Acute Watery Diarrhoea and Its Impact on Dehydration. Asian Journal of Pediatric Research, 4(4), 38-46.
Original Research Article


Billah SM, Raihana S, Ali NB, Iqbal A, Rahman MM, Khan ANS et al. Bangladesh: A success case in combating childhood diarrhoea. J Glob Health. 2019; 9(2):020803. DOI: 10.7189/jogh.09.020803 PMID: 31673347. PMCID: PMC6816141.

Sodeman M. Management of child hood diarrhoea and use of ORS in a suburban West African community. Am. J. Trop.Med. Hyg. 1999;60(1):167-71.

McLennan JD. Home management of diarrhea in Dominican Republic. J Health Popul Nutr. 2002;20(3):245-54.

Poka H, Duke T. Clinical management of diarrhoea in children. P N G Med J. 2013; 56(3-4):156-61. PMID: 26288934.

Ali M, Atkinson D, Underwood P. Determinants of use rate of oral rehydration therapy for management of childhood diarrhoea in rural Bangladesh. J Health PopulNutr. 2000;18(2);103-8.

Nkwi PN. Perceptions and treatment of diarrhoeal diseases in Cameroon. J Diarrhoeal Dis Res. 1994;12(1):35-41.

Tsige AG, Nedi T, Bacha T. Assessment of the management of diarrhoea among children under five in Addis Ababa, Ethiopia. Pediatric Health Med Ther. 2020;11:135-143. DOI: 10.2147/PHMT.S243513 PMID: 32440249. PMCID: PMC7213891.

Omkhodion FO, Oyemade A, Sridhar MKC. Diarrhoea in children of Nigerian market women: Prevalence, knowledge of causes, and management. J. Diarrhoeal Dis Res. 1998;16(3):194-200.

Bandyopadhyay S, Banerjee K, Sharma RS. Practices of preparation of oral rehydration solution among mothers reporting the drug distribution centres in Delhi, India, 1992. J Diarrhoeal Dis Res. 1993;11(4):249-51 .

Widarsa KT, Muninjaya AG. Factors associated with the use of oral rehydration solution among mothers in West Lombok, Indonesia. J Diarrhoeal Dis Res. 1994; 12(4):261-4.

Akpede GO, Igene JO, Omotarar BA. Perceptions of and management practices for diarrhoeal diseases by traditional healers in Northeastern Nigeria. J Health PopulNutr. 2001;19(2):91-9.

Okoro BA, Jones IO. Pattern of drug therapy in home management of diarrhoea in rural communities of Nigeria. J Diarrhoeal Dis Res. 1995;13(3):151-4.

Rautanen T, Halme S, Vesikari T. Community-based survey of paediatric diarrhoeal morbidity and home treatment practices in Finland. Acta Padiatr. 1998; 87(9):986-90.

Taha AZ. Assessment of mother's knowledge and practice in use of oral rehydration solution for diarrhoea in rural Bangladesh. Saudi Med J. 2002;23(8): 904-8.

Ugboko HU, Nwinyi OC, Oranusi SU, Oyewale JO. Childhood diarrhoeal diseases in developing countries. Heliyon. 2020;6(4):e03690.

DOI: 10.1016/j.heliyon.2020.e03690 Erratum in: Heliyon. 2020;6(6):e04040. PMID: 32322707. PMCID: PMC7160433.

United Nations International Children’s Emergency Fund; 2018. Available:

Cuevas RP, Guiscafre H, Romero G, Rodriguez L, Gutierrez G. Mothers' Health-seeking behaviour in Acute Diarrhoea in Tlaxcala, Mexico. J Diarrhoeal Dis Res. 1996;14(4):260-8.

Snyder, JD, Merson MH. The magnitude of the global problem of acute diarrhoeal disease: A review of active surveillance data. Bulletin of the World Health Organization. 1982;60:605-13.

Islam SB, Ahmed T, Mahfuz M, Mostafa I, Alam MA, Saqeeb KN, et al. The management of persistent diarrhoea at Dhaka Hospital of the International Centre for Diarrhoeal Disease and Research: A clinical chart review. Paediatr Int Child Health. 2018;38(2):87-96. DOI: 10.1080/20469047.2017.1315911 Epub 2017 May 5. PMID: 28475437.

Motarjemi Y, Kaferstein F, Moy G, Quevedo F. Contaminated weaning food: A major risk factor for diarrhoea and associated malnutrition. Bull WHO. 1993;71:79-92.